Friday, April 27, 2012

The Therapist and the Woodcarver



   There is always a lull in the afternoon, and when a patient cancels you have no choice but to face the paperwork. Sally stared at the pile on her desk. Having a patient meant work; not having a patient meant menial work. She leant back and was drawn to the small dark wooden frog that sat on the window sill. It had been carved by familiar hands

***
   It was six months ago that Jose walked into Sally's office. She remembers it was a Friday because they were supposed to visit her sister in Maine for the long weekend but their dog Buck was hit by a car. Sally and her husband Mark spent the Thursday night consoling their two little girls and debating whether they could travel. She was flustered when she got into the office. He walked in sheepishly. When she asked him if his name was Jose, he smiled and nodded and took off his coat.
   He was around fifty years old and everything about him was stocky; he had the shoulders and back of a retired boxer, and his waist, though broad, was not marred by a paunch. His face was open and often-graced by an irrepressible smile, and a shock of long grey hair that ran to his shoulders was ponytailed at the neck by a thin black band. He was handsome, with small lively, intelligent eyes and a high forehead.
   What were most remarkable about him, though, were his hands. They were thick and flat and looked heavy, like battered leather mitts, and when he rubbed them together by habit they scraped. The fingers were squat too, the nails like square tabs of flint, split here and there on the tips. Sally knew those hands. Her grandfather had the same hands.
   She asked him how long he had been a carpenter. He raised his eyebrows and smiled. Thirty-two years, he said. She told him her grandfather had been a carpenter.
   Jose told her that he was also a sculptor. He lived until he was twenty in Puerto Rico. His father taught him when he was a boy how to carve wood. Jose told her that he could sculpt full time when the demand for his work was high enough. He made only custom pieces, and he worked only with mahogany. When demand was low he would work contracts, but that was dirty work, he said. The same thing, again and again. It is not good for the spirit. He pointed to his heart.
    When she asked him what the problem was, though she had already seen his chart, he turned over his right hand, palm facing up to show her. A stark pinkwhite line ran from the base of his thumb up to the tip near the nail and down again on the other side to the base of his index finger. It snaked as it went and curved on the thumb where the flesh must have lifted from the bone.
    Normally, he said, I never wear a glove. A glove is not a necessary thing for me. But this one time. He shrugged. One in a million, no? I wear a glove when I am cutting a board at the college. And the glove it catches at the end, and fizz. He made a motion with his right hand, jolting it forward and pulling it back into his left which cradled it. He smiled. My wife she drive me to the emergency room. Three hours we sit there. And when the doctor see me he tell me they'll stitch me and to come back early tomorrow. My wife she told him no, and when the surgeon see us he tell us the tendon is, how do you say, severed? And that surgery is required and the other doctor did not know what he was talking about. And a few months later when I am at work, again it goes. He opened his left hand sharply to imitate the popping of the tendon. It just goes. So I have another surgery and now...now I do not know. He shrugged again.
   Throughout the telling he spoke sadly, though he smiled at the worst parts. Sally was used to wry smiles and sardonic accounts of injuries, but the way Jose told his story, so simply and without bitterness, and the familiar hands, endeared him to her. He smiled out of humility, or with the conviction that he’d be fine soon enough. She said how angry he must be. He shook his head and told her that so long as there were good people to help and he had insurance he could not complain. There was something fatalistic in the way he spoke and shrugged.
   Sally had him on heat and started to passively move the thumb. It was swollen slightly and his range of motion was poor; the thumb would barely budge even when she forced it. She was often sworn at by her patients as she did this, but Jose sat there quietly, and occasionally screwed up his eyes and grimaced to cope with the pain.
   Over the next six weeks Jose made slight but significant progress. Sally had him almost able to grip a can, and the swelling was close to gone. She heard more of his story; how he and his wife Maria had moved from San Juan in the eighties to settle in Vermont, and how she had had to retake classes to be ‘qualified’ to be a teacher’s assistant. He had carved and sculpted to put her through college. She helped teach Kindergarten at a nearby state school, where their youngest son went. They had two sons and the oldest was in high school.
    It is important for him to have more education than his father got, he said to her. She smiled at him politely. He was quiet serious.
   On the day of his seventh session he came early and apologized. Maria has been let go by the school, he told her. He stood in the doorway with his coat still on.
   How awful, Sally said. Oh Jose I’m so sorry. She sat quietly, looking up at him sympathetically, waiting for him to sit.
   I just come to tell you in person, he said.
   You’re not going to continue therapy, she asked?
   I was on her insurance, he said.
   We have a sliding scale here, you know. I think you only need ten sessions or so.
   Yes, he said. He shrugged and smiled. I got an offer with a contractor. I can almost hold a screwdriver now. He raised his right hand and waved it like a baseball mitt in front of his grinning face.
   He shrugged again, his smile fading. We need the money. If anything happens.
   Sally smiled and stood. She put out her left hand to shake his. He instead put out his right hand with the bright scar and took hers in his. He smiled and turned and left.
***
   Sally told her husband Mark about it that night, and the night after. She felt terrible about the whole thing, about how such a kind man who creates for a living cannot afford the treatment to restore him his gift. How he has to take base work that is soulless. Mark did not argue with her; he knew far better than that.
   Jose and Maria were not difficult to track down. Sally remembered the name of the school Maria had worked for. The school, in an effort to avoid controversy, had preserved on their website Maria’s name and the names of the other assistants who had been let go to stave the budget cuts. She was surprised to find that they too stayed in Woodberry.
   Once a week on her way home from the hospital Sally would drive to their house. She used equipment she took home from her office, and improvised when necessary; she used her daughter’s play-dough for motor skills and a fistful of rice in one of Mark’s old socks as a makeshift ball. The smell of burnt rice was well masked though by the sweet smell of the alto grande that Maria brewed for them. They were both so kind, Sally remembered. Pro Bono was not a term that Jose understood too well, but the relationship between two artisans well trained and skilled in their trades was. It took them more than ten sessions, but when his thumb was mended and he could work, he and his wife thanked her to no end. He would make it up to her, he said. He would make her something to thank her.
***
   Sally opened her eyes. The polished frog sat staring at her. No matter what mood she was in, it never seemed mocking; it always calmed her. Another like it sat in their daughters’ bedroom; a small carved retriever with ‘Buck’ etched into the base. They were beautiful pieces, carved by familiar hands. Hands which use only mahogany.

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